• Registered Nurse Home Health

    UPMC (Somerset, PA)
    …establish patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and ... FOR RN OPENINGS IN SOMERSET AREA! Are you a nurse looking for a rewarding career where you can...and compassionate registered nurses to join our home health nursing team! You'll work in a home setting with… more
    UPMC (10/09/25)
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  • Home Health Professional Staff Nurse

    UPMC (Pittsburgh, PA)
    …establish patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and ... **UPMC Home Health is hiring a Registered Nurse for the Uniontown Area** Are you a...skilled, compassionate registered nurses to join our home health nursing team! You'll work in a home setting with… more
    UPMC (10/07/25)
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  • Home Health Registered Nurse (RN)-Uniontown…

    UPMC (Pittsburgh, PA)
    …establish patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and ... UPMC Home Health is Hiring a Full-Time Registered Nurse (RN) for the Uniontown and Surrounding Areas...skilled, compassionate registered nurses to join our At Home nursing team! You'll work in a home setting with… more
    UPMC (09/25/25)
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  • Professional Staff Nurse - Home Health…

    UPMC (Seven Fields, PA)
    …establish patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and ... Bellevue, Observatory Hill, and surrounding areas. Are you a nurse looking for a rewarding career where you can...and compassionate registered nurses to join our home health nursing team! You'll work in a home setting with… more
    UPMC (10/16/25)
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  • Inpatient Registered Nurse Care Manager,…

    St. Luke's University Health Network (Bethlehem, PA)
    …, including but not limited to: Social workers, assistants, coordinators, utilization management staff, and director. + Facilitates communication among ... regardless of a patient's ability to pay for health care. The Registered Nurse Care Manager is responsible for coordinating the complex discharge planning needs of… more
    St. Luke's University Health Network (10/03/25)
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  • Clinical Resource Coordinator 20 hours per week

    Penn Medicine (Philadelphia, PA)
    …hospice, community resources, transportation, and quality data collection and risk management referral. Responsibilities: + Utilization management ... candidate for this position must be a seasoned med/surg nurse with a minimum of 5 years' experience in... with a minimum of 5 years' experience in Utilization review and 3 years of experience in the… more
    Penn Medicine (08/07/25)
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  • Family Health Advocate - Remote

    Sharecare (Harrisburg, PA)
    …/ new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, ... + Claims adjustments + Grievances and appeals submissions + Utilization management intake or status + Complex...and second opinion. + Referring members to Clinical Advocates ( Nurse ) for conditions that require clinical care and case… more
    Sharecare (10/14/25)
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  • Case Manager, Behavioral Health (Per Diem)

    St. Luke's University Health Network (Allentown, PA)
    …for admission and/or referral to appropriate level of care. + May assist in the utilization management of psychiatric cases in the absence of the utilization ... and effective communication with patients, families, community agencies, physicians, nursing staff, department managers, ancillary departments, and the Manager… more
    St. Luke's University Health Network (09/01/25)
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  • R&E Nurse - Med Care Services- Advanced

    Health Advocates Network (Harrisburg, PA)
    …as a Registered Nurse issued by the Pennsylvania State Board of Nursing ; or Possession of a non-renewable temporary practice permit issued by the Pennsylvania ... setting, behavioral health setting, drug and alcohol setting, managed care, quality management / utilization review or other related clinical experience; or An… more
    Health Advocates Network (08/27/25)
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  • Telephonic Care Manager (RN) - Pediatric

    UPMC (Pittsburgh, PA)
    …concerns. + Minimum of 2 years of experience in a clinical setting and case management nursing required. + Pediatric nursing experience highly preferred. + ... Are you an experienced Pediatric nurse with care management experience? We...interdisciplinary team summarizing clinical and social history, healthcare resource utilization , case management interventions. Update the plan… more
    UPMC (10/14/25)
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